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Maine rates for HCPCS L3211

Surgical Boot Each Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $22.44 / $22.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $23.85 / $23.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $28.58 / $28.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.13 / $94.13 / $94.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.44 / $22.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $27.39 / $48.90